Behavioural change phases of different stakeholders involved in the implementation process of ergonomics measures in bricklaying

The objective of this qualitative study was to assess whether a hypothesised sequential order of behavioural change phases would be fulfilled in different groups of stakeholders involved at the start of a process to implement ergonomic [corrected] measures in bricklaying teams. The measures include trestles, bricklaying scaffolds, mast climbing work platforms [corrected] and cranes. The behavioural change phases were: (1) being aware of measures, (2) understanding measures, (3) wanting measures, (4) intention to buy or hire measures, (5) ability to use measures, (6) using measures (experience), and (7) continuing to use measures. Structured interviews were conducted to examine the change phases in two groups of stakeholders (employers/work planners (n=11) [corrected] and foremen/bricklayers (n=9) [corrected] from nine companies) thought to be relevant in the decision to adopt and use the ergonomic [corrected] measures. The results show that the fulfilled behavioural change phases differ between individual stakeholders, groups of stakeholders, companies and also between ergonomic measures. The hypothesised order of fulfilled consecutive behavioural change phases for individual stakeholders has not been confirmed by this study. The relationship between [corrected] fulfilled and unfulfilled change phases by each stakeholder (group) and actual use of each ergonomic measure requires further study, so as to improve the selection of suitable implementation strategies [corrected]     

Is the use of ergonomic measures associated with behavioural change phases?

The aim of this study was to test the hypothesis that the absolute number of completed behavioural change phases (ABP) and the sequentially ordered number of completed behavioural change phases (SBP) are positively associated with the use of ergonomic measures by two groups of stakeholders in bricklaying companies (employers/planners, foremen/bricklayers). The measures, consisting of trestles, bricklaying scaffolds, mast-climbing work platforms and cranes, reduce the physical work demands made upon bricklayers and bricklayers' assistants. Structured interviews were conducted with stakeholders of 27 companies. Ordinal regression of behavioural change phases on the use of ergonomic measures showed a significant increase in both ABP and SBP in relation to increased use of three of the four ergonomic measures (i.e. trestles, bricklaying scaffolds, mast-climbing work platforms) by employers/planners and increased use of one ergonomic measure (i.e. trestles) by foremen/bricklayers. In conclusion, the positive and significant associations between the completed behavioural change phases (ABP and SBP) and use of ergonomic measures differ for the stakeholder groups and between the ergonomic measures. The data suggest that there is a higher chance of increasing the use of ergonomic measures by means of a higher ABP than a higher SBP. It is recommended for activities to be carried out-primarily by employers/planners-to facilitate as many behavioural change phases as possible in order to stimulate actual use of ergonomic measures at worksites.     

Ergonomics interventions to reduce musculoskeletal risk factors in a truck manufacturing plant

Ergonomic interventions may potentially reduce MSDs, but the context of industries (barriers, ever-changing situations, dialogue processes) might play a significant role in the success of interventions. This study evaluates the effectiveness of ergonomic interventions including engineering/technical and organizational interventions, and the involvement of the stakeholders in reducing musculoskeletal risk factors/symptoms. A pre-post-test experimental study in non-randomized groups was performed over three years in a sector of a truck assembly plant. The mean age of the operators in the sector for the initial and second assessment time was 42.0 (±7.6) years and 39.0 (±8.7), respectively. The mean length of work experience in the current job was 15.2 (±7.2) years and 13.9 (±7.3) for the initial and second assessment times, respectively. Five engineering ergonomic solutions and organizational interventions were implemented after a comprehensive ergonomic analysis. The organizational interventions consisted mostly of transferring and redistributing the tasks, i.e., ergonomically balancing and redesigning of the workstations. Before performing the interventions, the findings of the ergonomic study were presented at several meetings to encourage the involvement of the stakeholders (including managers, engineers, and operators) in the interventions. This study showed that a combination of ergonomic measures—engineering and organizational interventions—could reduce physical workloads. Musculoskeletal symptoms decreased after interventions although the difference was not significant.     

A multilayered ergonomic intervention program on reducing musculoskeletal disorders in an industrial complex: A dynamic participatory approach

Work-related musculoskeletal disorders (WMSDs) are closely identified with common complaints in different workplaces. This study aimed to implement an intervention program through which ergonomic measures were dynamically localized in industry. An interventional study, including three basic layers, namely, training workshops, participatory ergonomics (PE), and workstation redesign was fulfilled in an Iranian steel manufacturing complex from 2017 to 2020. A steering committee (SC) was formed following several meetings held for clarification of the project to the management team. The SC members then attended four organized workshops managed by an ergonomics specialist. Afterwards, the basics of ergonomics were transferred to action groups. After developing ergonomic assessment tools, the ergonomic problems were prioritized and numerous positive changes were made by the action groups. The findings of the tailored checklists revealed a load of WMSDs risk factors. All the three layers of the program were implemented as initiated. Ergonomics training workshops were then held and significant differences were observed between the participants' pre/posttest mean scores in all workshops (p < 0.001). Moreover, PE measures were exercised at all levels of the organization inducing enthusiastic motivation of the workforce to consider ergonomic requirements in the workplace. Consequently, the workers' innovative ideas and the managerial support yielded diverse workstation redesigns due to a growth in either the workers' ergonomics awareness or participatory culture grounding. A multilayered ergonomic intervention was implemented in this study. In conclusion, a multifaceted long-term follow-up intervention program could be applied to enhance workers’ health status and to raise system productivity.     

A corporate workplace model for ergonomic assessments and improvements

Several companies have developed their own company-specific models for ergonomic improvements. This study aims to describe and identify factors supporting and hindering the implementation and application of one such corporate model for ergonomic assessment and improvement. The model has been developed by Volvo Car Corporation and implemented at an assembly plant in G?teborg, Sweden. The model is unique as it is intended to be used by production engineers and safety representatives in cooperation. The process for assessment of musculoskeletal risks is standardised and participatory, which also supports identification of solutions. Interviews, questionnaires, observation and document studies were used to evaluate the use of the model. The model was found to improve participation and collaboration among stakeholders; provide a more effective ergonomic improvement process; visually represent the ergonomics situation in the company; and give legitimacy to and awareness of ergonomics. However, the model was found to be rather resource demanding and dependent on support from management and unions. In particular, a substantial training programme and regular use of the model are needed.     

Evaluation of the effects of two alternative participatory ergonomics intervention strategies for construction companies

To improve the use of ergonomics tools by construction workers, the effect of two guidance strategies – a face-to-face strategy (F2F) and an e-guidance strategy (EG) – of a participatory ergonomics intervention was studied. Twelve construction companies were randomly assigned to the F2F group or the EG group. The primary outcome measure, the percentage of workers using ergonomics tools, and secondary outcome measures – work ability, physical functioning and limitations due to physical problems – were assessed using surveys at baseline and after 6 months. Additionally, a cost-benefit analysis was performed on company level. No differences in primary and secondary outcomes were found with the exception of the use of ergonomics tools to adjust working height (F2F +1%; EG +10%; p?=?.001). Newly-implemented tools were used by 23% (F2F) and 42% (EG) of the workers (p?=?.271). Costs were mainly determined by guidance costs (F2F group) or purchase costs (EG group).

Practitioner Summary: Participatory strategies aim to stimulate behavioural change of stakeholders to increase the use of ergonomics tools. Two guidance strategies – face-to-face or e-mail interventions – among construction companies were studied. Both guidance strategies led to an increase in the use of new ergonomics tools.     

Alternatives to lifting concrete masonry blocks onto rebar: biomechanical and perceptual evaluations

This study examined the use of and barriers to H-block and high lift grouting, two alternatives to lifting concrete masonry blocks onto vertical rebar. Peak and cumulative shoulder motions were evaluated, as well as adoption barriers: H-block cost and stakeholder perceptions. Results indicated that using the alternatives significantly decreased peak shoulder flexion (p < 0.001). A case study indicated that building cost was higher with H-block, but the difference was less than 2% of the total cost. Contractors and specifiers reported important differences in perceptions, work norms, and material use and practices. For example, 48% of specifiers reported that use of high lift grouting was the contractor's choice, while 28% of contractors thought it must be specified. Use of H-block or high-lift grouting should be considered as methods to reduce awkward upper extremity postures. Cost and stakeholders’ other perceptions present barriers that are important considerations when developing diffusion strategies for these alternatives.

Practitioner Summary: This study provides information from several perspectives about ergonomic controls for a high risk bricklaying task, which will benefit occupational safety experts, health professionals and ergonomists. It adds to the understanding of shoulder stresses, material cost and stakeholder perceptions that will contribute to developing effective diffusion strategies.     

Use of accelerometers as an ergonomic assessment method for arm acceleration a large-scale field trial

Ergonomists need easy-to-use, quantitative job evaluation methods to assess risk factors for upper extremity work-related musculoskeletal disorders in field-based epidemiology studies. One device that may provide an objective measure of exposure to arm acceleration is a wrist-worn accelerometer or activity monitor. A field trial was conducted to evaluate the performance of a single-axis accelerometer using an industrial population (n= 158) known to have diverse upper limb motion characteristics. The second phase of the field trial involved an examination of the relationship between more traditional observation-based ergonomic exposure measures and the monitor output among a group of assembly-line production employees (n= 48) performing work tasks with highly stereotypic upper limb motion patterns. As expected, the linear acceleration data obtained from the activity monitor showed statistically significant differences between three occupational groups known observationally to have different upper limb motion requirements. Among the assembly-line production employees who performed different short-cycle assembly work tasks, statistically significant differences were also observed. Several observation-based ergonomic exposure measures were found to explain differences in the acceleration measure among the production employees who performed different jobs: hand and arm motion speed, use of the hand as a hammer, and, negatively, resisting forearm rotation from the torque of a power tool. The activity monitors were found to be easy to use and non-intrusive, and to be able to distinguish arm acceleration among groups with diverse upper limb motion characteristics as well as between different assembly job tasks where arm monitors were performed repeatedly at a fixed rate.     

Computer-related posture and discomfort in primary school children: The effects of a school-based ergonomic intervention

This study investigated the effect of a school-based ergonomic intervention on childrens’ posture and discomfort while using computers using a pre/post test study design. The sample comprised 23 children age 9 and 10 years. Posture was assessed with Rapid Upper Limb Assessment (RULA) and a workstation assessment was completed using a Visual Display Unit (VDU) checklist. Self reported discomfort was also recorded at the beginning and end of the computer class. Following an ergonomic intervention that included education of the children and workstation changes, the outcome measures were repeated. There was a positive response to the intervention with significant changes between the pre-intervention and post-intervention scores for posture (p = 0.00) and workstation (p = 0.00). The change in discomfort scores from beginning to end of the computer class between the pre-intervention class and the post-intervention class was also significant (p = 0.00). The study highlights the need for continuing concern about the physical effects of children’s computer use and the implications of school-based interventions.     

Perceptions of performance and satisfaction after relocation to an activity-based office

Many companies move from open-plan offices (OPO) to activity-based workplaces (ABWs). However, few studies examine the benefits and drawbacks following such a change. The aim of this study was to explore how physical conditions, office use, communication, privacy, territoriality, satisfaction and perceived performance change following a company’s relocation from an OPO to an ABW. A mixed methods approach included pre- and post-relocation questionnaires and post-relocation focus groups, individual interviews and observations. The questionnaires enabled comparisons over time (n = 34) and broader analyses based on retrospective ratings of perceived change (n = 66). Results showed that satisfaction with auditory privacy, background noise, air quality, outdoor view and aesthetics increased significantly after relocation. Negative outcomes, such as lack of communication within teams, were perceived as being due to the high people-to-workstation ratio and lack of rules. Overall satisfaction with the physical work environment increased in the ABW compared to the OPO. Perceived performance did not change significantly.

Practitioner Summary: Activity-based workplaces (ABWs) are commonly implemented although their effects on performance and well-being are unclear. This case study gives advice to stakeholders involved in office planning. Despite shortcomings with the people-to-workstation ratio and rules, employees showed improved satisfaction with auditory privacy and aesthetics in the ABW compared with the previous open-plan office.     

The use of ergonomic measures and musculoskeletal complaints among carpenters and pavers in a 4.5-year follow-up study

The primary aim of this follow-up study was to evaluate the association between the use of ergonomic measures and musculoskeletal complaints among construction workers during an informational campaign on sector level. A questionnaire was sent twice to a cohort of 914 Dutch carpenters and pavers, once in 2000 and once in 2005. Relative risks (RR) were calculated for the regular use of ergonomic measures and regular or sustained lower back and shoulder pain among workers at baseline and 4.5 years follow-up. The response percentages were 78% (n = 469) for carpenters and 64% (n = 202) for pavers. Regular use of specific ergonomic measures varied from 15–66% at baseline to 17–66% at follow-up. Four specific ergonomic measures showed a statistically significant increase in usage. Regular or sustained lower back and shoulder complaints among carpenters decreased from 38 to 34% (p = 0.07) and 24 to 22% (p = 0.18), respectively. Among pavers, lower back (34%) and shoulder (17 to 18%) complaints remained the same or increased. Regular use of a height-adjustable working platform was associated with a lower likelihood of shoulder complaints at baseline (RR = 0.68; 95% CI: 0.46–<1.00) and low back complaints at follow-up (RR = 0.66; 95% CI: 0.50–0.88) among carpenters. Also regular use of aids for handling heavy loads was associated with no shoulder complaints at baseline RR = 0.62 (95% CI: 0.40–0.97) among carpenters. In conclusion, despite a large informational campaign, regular use of ergonomic measures remained low in a 4.5 year period. Regular use of the majority of ergonomic measures was associated, although not statistically significantly, with a lower likelihood of lower back or shoulder complaints. It is recommended to select, apply and monitor powerful implementation strategies to ensure the use of effective ergonomic measures at construction sites.     

The effects of an office ergonomics training and chair intervention on worker knowledge, behavior and musculoskeletal risk

A large-scale field intervention study was undertaken to examine the effects of office ergonomics training coupled with a highly adjustable chair on office workers’ knowledge and musculoskeletal risks. Office workers were assigned to one of three study groups: a group receiving the training and adjustable chair (n=96), a training-only group (n=63), and a control group (n=57). The office ergonomics training program was created using an instructional systems design model. A pre/post-training knowledge test was administered to all those who attended the training. Body postures and workstation set-ups were observed before and after the intervention. Perceived control over the physical work environment was higher for both intervention groups as compared to workers in the control group. A significant increase in overall ergonomic knowledge was observed for the intervention groups. Both intervention groups exhibited higher level behavioral translation and had lower musculoskeletal risk than the control group.     

Organization sustainability communication (OSC): Similarities and differences of OSC messages in the United States and South Korea

As stakeholders most frequently access Web sites to learn about environmental issues, it would be effective to display messages addressing sustainability on organizational Web sites. This study aimed to compare and contrast the content of organization sustainability communication (OSC) displayed on the Web sites of the top 100 companies in South Korea and the United States. U.S. organizations are significantly more active in communicating their values or practices regarding organizational sustainability to their stakeholders through their Web sites. Data indicated that the Web sites of South Korean companies emphasized collectivism (‘harmony,’ ‘environmental heritage,’ ‘enterprise management,’ ‘performance for community,’ and ‘family theme’ values) and power distance values (‘hierarchy information,’ ‘vision statement,’ and ‘proper titles of executives’) more so than their U.S. counterparts. However, U.S. companies displayed more values related to uncertainty avoidance (‘customer service,’ ‘guided navigation,’ and ‘link to more specific information’).     

A demonstration of level-anchored ratio scaling for prediction of grip strength

Level-anchored ratio scaling, such as the Borg CR10 scale^® and the Borg CR100 scale^®, uses verbal anchors in congruence with numbers to give ratio data together with natural levels of intensity. This presupposes that the anchors possess natural positions in the subjective dynamic range and also “numerical” inter-relations. In an experiment, subjects had to produce a force of handgrip corresponding to their conception of “Strong”, followed by a “Maximal” performance. By using the previously found relationship between “Strong” and “Maximal” of 1:2 together with knowledge of the exponent in the power S-R-function (R = c × Sⁿ) for grip strength, n = 1.8, predictions of individual maximal performances were obtained. The predicted values correlated 0.76 with, and deviated only 3% (ns) from, actual maximal performances of grip strength. This result –as previously also found for aerobic capacity–gives a strong support for the use of verbal anchors, so common in category scaling, also in “ratio scaling” and that the Borg CR-scales fulfill the requirements for ratio scales. For estimation of muscular strength, such as grip strength, this present study points to the value of using submaximal determinations as a compliment to maximal performances (e.g., to obtain measures of functional capacity). The results also support the increasingly common use of the CR-methodology in other ergonomic settings concerning suitable design of tools and equipment.     

Assimilation and use of ergonomic knowledge by nonergonomists to improve jobs in two electrical product assembly plants

This article describes the results of an analysis of the assimilation of ergonomic knowledge by nonergonomists during participatory ergonomics projects whose aim is the prevention of work-related musculoskeletal disorders (WMSDs). In two plants producing electrical consumer products and telecommunications equipment, ergonomic groups were established and trained. The groups analyzed seven working situations resulting in 50 implemented proposals. A reduction in WMSD risk factors was observed. The analysis of the assimilation of ergonomic knowledge by the groups and their members was based on two sources: analysis of the groups' working sessions, and independent interviews of group members. The results show that group members master most phases of the formalized ergonomic analysis. The interviews revealed that several factors influence knowledge transfer: prior training and organizational status of the group members, the didactic method used, company culture, support by management, and attitudes of coworkers. © 1997 John Wiley & Sons, Inc.     

Personalized method for self-management of trunk postural ergonomic hazards in construction rebar ironwork

Construction rebar workers face postural ergonomic hazards that can lead to work-related Lower Back Disorders (LBDs), primarily due to their prolonged awkward working postures required by the job. In a previous study, Wearable Inertial Measurement Units (WIMUs)-based Personal Protective Equipment (PPE) was developed to alert workers when their trunk inclination holding time exceeded acceptable thresholds as defined in ISO standard 11226:2000. However, subsequent field testing identified PPE was ineffective for some workers because the adopted ISO thresholds were not personalized and did not consider differences in individual’s response to postural ergonomic hazards. To address this problem, this paper introduces a worker-centric method to assist in the self-management of work-related ergonomic hazards, based on data-driven personalized healthcare intervention. Firstly, personalized information is gathered by providing each rebar ironworker a WIMU-based personalized mobile health (mHealth) system to capture their trunk inclination angle and holding time data. Then, the captured individual trunk inclination holding times are analyzed by a Gaussian-like probability density function, where abnormal holding time thresholds can be generated and updated in response to incoming trunk inclination records of an individual during work time. These abnormal holding time thresholds are then adapted to be used as personalized trunk inclination holding time recommendations for an individual worker to self-manage their working postures, based on their own trunk inclination records. The proposed worker-centric method to assist in the self-management of ergonomic postural hazards leading to LBDs was field tested on a construction site over a three-month duration. The results of the paired t-tests indicate that posture scores evaluated by the Ovako Working Posture Analysis System (OWAS) significantly decrease when the personalized recommendation is applied, while increase again when the personalized recommendation is removed. Based on data-driven personalized healthcare intervention, the results demonstrate the significant potential of the proposed worker-centric self-management method for rebar workers in preventing and controlling postural ergonomic hazards during construction rebar ironwork.     

Ergonomic intervention research for improved musculoskeletal health: A critical review

This literature review of ergonomic intervention studies aims to identify effective ergonomic interventions for improved musculoskeletal health in the workplace and to make recommendations for quality criteria in ergonomic intervention research. To avoid ambiguity in terminology a list of definitions of the ergonomic terms used in this paper is provided in an appendix. Models were developed for use in the classification of ergonomic intervention research and to illustrate the problems in interpreting ergonomic intervention data. The relevant literature was identified by a two-step process. First the relevant literature was identified by inclusion criteria, then, quality criteria were applied to identify studies of good quality for effective intervention. These appear to be firstly “organizational culture” and secondly modifier interventions, the former using multiple interventions with high stakeholder commitment to reduce identified risk factors, and the latter especially focusing workers at risk and using measures which actively involve the individual. A list of recommendations is provided.     

The introduction of sit-stand worktables; aspects of attitudes, compliance and satisfaction

The introduction of sit-stand worktables was examined in this study. Purchasers at four companies were interviewed regarding preparations prior to purchase, follow-up after installation, and if expectations had been fulfilled. Personnel at the four companies answered a questionnaire examining use of the worktables' sit-stand function, and the influence of some variables on this. Utilisation of the sit-stand function was less than what could be expected to relieve static musculoskeletal loading during VDU work. Pain experienced during the past year, and education on the use of the worktable gave rise to modest increases in utilisation. Investment in sit-stand worktables was satisfactory to purchasers, in terms of providing flexible furniture to suit modern organisational dynamics. Users were, in general, positive to the worktables, but showed poor compliance in using them. User and purchaser satisfaction with regard to improving individual health ergonomics was questionable in respect of the low level of usage.     

Design of assembly lines with the concurrent consideration of productivity and upper extremity musculoskeletal disorders using linear models

Work-related musculoskeletal disorders (WMSDs) are common occupational diseases among assembly workers due to repetitive motions or heavy workloads. The conventional approaches to decreasing WMSDs in assembly workers usually focus on individual assembly work at the station level. These approaches, however, do not pay enough attention to work allocation at the whole assembly line level such as balancing ergonomic burdens among workers by proper work assignment. This paper presents a methodology that can be used to integrate ergonomic measures of upper extremities into assembly line design problems. Linear models are developed to link work-worker assignment to the upper extremity ergonomic measures based on a guideline from American Conference of Governmental Industrial Hygienists. These linear models allow ergonomic and productivity measures to be integrated as a mixed-integer programming model. The case studies of this paper show the new model can effectively balance and control exposure levels in the upper extremity while not significantly decreasing line efficiency. This research shows the potential to reduce the need of numerous task adjustments for ergonomic improvement after initial assembly line design in conventional trial-and-error based assembly task adjustment. Furthermore, these linearization methods can be generalized in order to incorporate other ergonomic measures in tabulated forms into assembly line design problems.     

Effects of prismatic glasses including optometric correction on head and neck kinematics, perceived exertion and comfort during dental work in the oral cavity--a randomised controlled intervention

AimTo quantify the effects of using prismatic glasses including optometric correction, on head and neck kinematics, perceived exertion and comfort, during work in the oral cavity.MethodsThe study population consisted of forty-five participants. After a basic ergonomic education, baseline measurements of head and neck kinematics were made using inclinometers. Perceived exertion and comfort were rated by the participants. An intervention group (n = 25), selected at random from the participants, received prismatic glasses and optometric correction when needed and were compared with a control group (n = 20). Follow up assessments were made after the intervention.ResultsAt follow up there was a reduction in both the intervention group (8.7°) and in the control group (3.6°) regarding head flexion. Neck flexion was reduced by 8.2° in the intervention group and 3.3° in the control group. The difference between the intervention and the control groups, i.e. the effect of the intervention, was statistically significant for both head (5.1°; p = 0.009) and neck (4.9°; p = 0.045) flexion. No effect of the intervention was seen regarding perceived exertion and comfort.ConclusionThe reduction in head and neck flexion achieved by the prismatic glasses is likely to reduce the risk of neck pain during dental work. The effect of the prismatic lenses could not be separated from the effect of the optometric correction. The possible effect of the ergonomic education was not evaluated.